Provider Demographics
NPI:1174115133
Name:DAWKINS, ONTARIA JANELL
Entity type:Individual
Prefix:
First Name:ONTARIA
Middle Name:JANELL
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 LAIRD AVE SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-6026
Mailing Address - Country:US
Mailing Address - Phone:330-883-7671
Mailing Address - Fax:
Practice Address - Street 1:346 LAIRD AVE SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6026
Practice Address - Country:US
Practice Address - Phone:330-883-7671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program